Feldman, Connie Jo
Feldman, Connie Jo is an individual health care provider with primary practice located at 501 E Main St , Marshalltown IA 50158-0773. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Feldman, Connie Jo can be contacted via phone (641) 752-1511.Contact Information
Primary practice address
501 E Main St
Marshalltown IA 50158-0773
Phone: (641) 752-1511
Fax: (641) 753-8773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02100 | Iowa |
Profile Details
| NPI number | 1245200583 |
|---|---|
| LBN Legal business name | Feldman, Connie Jo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 20th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245200583 | NPPES |
| Iowa | MEDICAID | 1211946 |
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